TW200817005A - Aqueous formulation comprising an antitumor agent - Google Patents

Aqueous formulation comprising an antitumor agent Download PDF

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Publication number
TW200817005A
TW200817005A TW096131093A TW96131093A TW200817005A TW 200817005 A TW200817005 A TW 200817005A TW 096131093 A TW096131093 A TW 096131093A TW 96131093 A TW96131093 A TW 96131093A TW 200817005 A TW200817005 A TW 200817005A
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Taiwan
Prior art keywords
cyclodextrin
formulation
hemolysis
propionic acid
pharmaceutically acceptable
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TW096131093A
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Chinese (zh)
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Olivier Dorchies
ji-ping Liu
William L Rocco
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Sanofi Aventis
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Publication of TW200817005A publication Critical patent/TW200817005A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/0012Galenical forms characterised by the site of application
    • A61K9/0019Injectable compositions; Intramuscular, intravenous, arterial, subcutaneous administration; Compositions to be administered through the skin in an invasive manner
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K31/00Medicinal preparations containing organic active ingredients
    • A61K31/33Heterocyclic compounds
    • A61K31/395Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins
    • A61K31/435Heterocyclic compounds having nitrogen as a ring hetero atom, e.g. guanethidine or rifamycins having six-membered rings with one nitrogen as the only ring hetero atom
    • A61K31/47Quinolines; Isoquinolines
    • A61K31/47042-Quinolinones, e.g. carbostyril
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin
    • A61K47/40Cyclodextrins; Derivatives thereof
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K9/00Medicinal preparations characterised by special physical form
    • A61K9/08Solutions
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P35/00Antineoplastic agents
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D215/00Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems
    • C07D215/02Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom
    • C07D215/16Heterocyclic compounds containing quinoline or hydrogenated quinoline ring systems having no bond between the ring nitrogen atom and a non-ring member or having only hydrogen atoms or carbon atoms directly attached to the ring nitrogen atom with hetero atoms or with carbon atoms having three bonds to hetero atoms with at the most one bond to halogen, e.g. ester or nitrile radicals, directly attached to ring carbon atoms
    • C07D215/20Oxygen atoms
    • C07D215/22Oxygen atoms attached in position 2 or 4
    • C07D215/227Oxygen atoms attached in position 2 or 4 only one oxygen atom which is attached in position 2
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61KPREPARATIONS FOR MEDICAL, DENTAL OR TOILETRY PURPOSES
    • A61K47/00Medicinal preparations characterised by the non-active ingredients used, e.g. carriers or inert additives; Targeting or modifying agents chemically bound to the active ingredient
    • A61K47/30Macromolecular organic or inorganic compounds, e.g. inorganic polyphosphates
    • A61K47/36Polysaccharides; Derivatives thereof, e.g. gums, starch, alginate, dextrin, hyaluronic acid, chitosan, inulin, agar or pectin

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  • Health & Medical Sciences (AREA)
  • Chemical & Material Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Medicinal Chemistry (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Pharmacology & Pharmacy (AREA)
  • Animal Behavior & Ethology (AREA)
  • Epidemiology (AREA)
  • Organic Chemistry (AREA)
  • Chemical Kinetics & Catalysis (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Chemical & Material Sciences (AREA)
  • Dermatology (AREA)
  • Inorganic Chemistry (AREA)
  • Pharmaceuticals Containing Other Organic And Inorganic Compounds (AREA)
  • Medicinal Preparation (AREA)

Abstract

Disclosed are compositions and pharmaceutical formulations comprising (2R)-2-[4-(7-bromo-2-quinolyloxy)phenoxy]propanoic acid, and methods of use thereof.

Description

200817005 九、發明說明: 【發明所屬之技術領域】 本發明係關於活性劑(2卟2-[4-(7| — 基]丙酸’且尤其係關於用於非經腸投與叫氧 啥琳基)苯氧基]丙酸或其醫藥學上 “·- 調配物。 接又之鹽的新穎醫藥 【先前技術】 已展示將具有結構式⑴之叫2_[4_(7_漠么 基)苯氧基]丙酸: 土林基乳 (I), 用作抗癌劑係尤其有利的。舉例而言,美國專Μ第6,867,219 號(其以引用的方式全部併人本文中)描述(2R)_2例7_漠 -2-唾淋基氧基)笨氧基]丙酸之製備、物理特性及有益藥理 學特性。 可將(2R)-2-[4-(7-演_2_哇琳基氧基)苯氧基]丙酸以液體 非經腸調配物形式投與。在初步動物毒物學研究中發現將 (2R)-2- [4-(7-漠-2- 4啉基氧基)苯氧基]丙酸以單一磷酸鹽 緩衝液調配物形式以1〇 mg/mL或更高輸注時會引起一定程 度的溶血作用。因為顯著溶血作用會引起貧血,所以 (2R)-2- [4-(7-漠-2-啥琳基氧基)苯氧基]丙酸之溶血作用對 醫藥組合物而言為不良特性。 123610.doc 200817005 需要能減少藥物引發之溶血作用的含有(2R)_2_[4_(7·演 喹啉基氧基)苯氧基]丙酸之調配物。 、 【發明内容】 已報H藥物引發之溶血作用的若干方法對某些藥物 為有效的。舉例而言,較長的非經腸調配物輸注時間(亦 Ρ〜減k輸Α速率或降低活性藥物之濃度)可導致活性藥物 岭血活I± 低。然而,較長輸注時間可能不合需要地導 致患者順應性降低。其他方法包括向靠物巾添加張力 劑^界面活性劑、膠體渗透保護劑、整合劑/膜穩定劑、蛋 基自由基捕獲劑或錯合劑(諸如環糊精)'然而,描 體内研究。 ¥主要侷限於活體外結果而未確認活 -血:本心明者已進打深入研究,發現可減少藥物引發之 洛血作用的(2R)_2_[4_(7_漠_2_ 改良%啦%如 土啉基虱基)本虱基]丙酸之 “配物。在所研究之非經腸添加劑 合劑之環糊精為有效的。 -僵稱作錯 ::‘壌糊精可減少活體外藥物引發之溶血作用, 活體内環一 假疋%糊精藉由與藥物的至 錯合物’導致可與紅血球相互作用之游離J广包合 供溶血仅读 乍用之游離樂物較少從而提 开〈式的夫^ 。此機制可應用於可將一部分藥物保持為錯合 :員者稀釋藥物溶液(諸如多數報導中所述之虚01 浮液混合之—液)的活體外測試。然:在 顆1| /主期間,多數筚 ” 又至動恶血流時由於大量稀釋 J23630.doc 200817005 而與環糊精腔迅速且完全分 用。 使得不可預測活體内效 本發明係基於以下發現··向(2r 基)苯氧基]丙酸之醫藥調配物中添力广臭-I喹啉基氧 活體内條件下減少(2汉)-244^^加%糊精可在活體外及 丙酸的藥物引發之溶血作用,^ 喹啉基氧基)苯氧基] 斤用,而不影響藥 ^ 本發明亦提供包含投與本發明:樂理學活性。 法。 商藥調配物的治療方 【實施方式】 定義及縮寫 否 如上文及本發明之說明書全文所用, 則以下縮寫及符號應理解為具有以下含=非另外說明 α α β β Ί Ί δ δ IV 靜脈内 PBS 磷酸鹽緩衝溶液 qs 適量補足,亦gp 、u旦谓 < 疋列1 如上文及本發明之說明書全 里 斤用’除非另外說明,否 則以下術語應理解為具有以下含義: 本文所用之術語”活性成份,,(,,咖eingredient”及” principle”)係指(2R)_2-[4_(m啥琳基氧基)苯氧基]丙酸 或其醫藥學上可接受之鹽。 123610.doc 200817005 環糊精為含有環形疏水性中心腔及親水性外表面之裏 醣。本文所用之術語”環糊精”可係指環糊精或環糊精衍生 物0200817005 IX. Description of the invention: [Technical field to which the invention pertains] The present invention relates to an active agent (2卟2-[4-(7|-yl)propionic acid' and especially relates to parenteral administration of oxime Linki) phenoxy]propionic acid or its medicinal "·- formulation. The novel medicine of the salt [the prior art] has been shown to have the structural formula (1) called 2_[4_(7_莫默基) Phenoxy]propionic acid: a territorial based milk (I), which is particularly advantageous as an anticancer agent. For example, U.S. Patent No. 6,867,219 (which is incorporated herein by reference in its entirety) Preparation, physical properties and beneficial pharmacological properties of _2 cases of 7_involved-2-oxooxy)propionyl]propionic acid. (2R)-2-[4-(7-演_2_ Wahlinyloxy)phenoxy]propionic acid is administered as a liquid parenteral formulation. (2R)-2-[4-(7-moly-2- 4 phenyl) was found in preliminary animal toxicology studies. Alkoxy)phenoxy]propionic acid causes a certain degree of hemolysis when infused as a single phosphate buffer formulation at 1 mg/mL or higher. Because significant hemolysis causes anemia, (2R) -2- [4-(7- desert The hemolysis of -2-mercaptooxy)phenoxy]propionic acid is a poor property for pharmaceutical compositions. 123610.doc 200817005 Needs to reduce the hemolysis caused by drugs (2R)_2_[4_(7 a compound of quinolyloxy)phenoxy]propionic acid. [Summary of the Invention] Several methods for hemolytic action induced by H drugs have been reported to be effective for certain drugs. For example, longer non- The infusion time of the enteral formulation (also decreasing the rate of transfusion or decreasing the concentration of the active drug) may result in a low activity of the active drug I. However, longer infusion times may undesirably result in decreased patient compliance. The method includes adding a tonicity agent, a surfactant, a colloidal osmoprotectant, an integrator/membrane stabilizer, an egg-based radical scavenger or a complexing agent (such as a cyclodextrin) to the towel. However, in vivo studies. Mainly limited to in vitro results but not confirmed live-blood: Benxin Ming has been thoroughly researched and found to reduce the blood-induced Luoxue effect (2R)_2_[4_(7_漠_2_ Improve%%% "ortmented with fluorenyl) phenyl] propionate . The cyclodextrin in the parenteral additive mixture studied is effective. - The zombie is called the wrong:: 'Dry dextrin can reduce the hemolysis caused by in vitro drugs, and the inner ring of a false sputum % dextrin can be separated from the red blood cells by the complex with the drug'. Incorporating for hemolysis, only the free music used for reading is less, so that the formula is raised. This mechanism can be applied to an in vitro test that maintains a portion of the drug as a mismatch: the member dilutes the drug solution (such as the virtual 01 float mixture described in most of the reports). However: during the 1|/main period, most of the sputum is rapidly and completely separated from the cyclodextrin cavity due to a large dilution of J23630.doc 200817005. This makes the invention unpredictable in vivo. Discovery · Adding to the pharmaceutical formulation of (2r-based) phenoxy] propionic acid, the odor is reduced - I quinolinyloxy is reduced in vivo (2 Han) - 244 ^ ^ plus % dextrin can be in vitro And hemolytic action induced by propionic acid, quinolinyloxy)phenoxy] gram without affecting the drug ^ The present invention also provides for the administration of the present invention: Musical activity. Treatments [Embodiment] Definitions and abbreviations As used above and throughout the specification of the present invention, the following abbreviations and symbols are understood to have the following inclusions = non-additional specification α α β β Ί Ί δ δ IV Intravenous PBS phosphate buffer Solution qs Appropriate amount, also gp, udan said < 疋 1 The above and the specification of the present invention are used 'unless otherwise stated, the following terms should be understood as having the following meanings: The term "active ingredient," as used herein, , (, "eingredient" and "principle" refer to (2R)_2-[4_(m啥linyloxy)phenoxy]propionic acid or a pharmaceutically acceptable salt thereof. 123610.doc 200817005 Cyclodextrin is contained a sugar in a circular hydrophobic central cavity and a hydrophilic outer surface. The term "cyclodextrin" as used herein may mean a cyclodextrin or a cyclodextrin derivative.

Capt1S〇l®為自CyDex,LLC購得之磺丁基醚β環糊精。 術語”溶血作用”係指以將血紅素釋放入血流中之方式改 變或破壞紅血球。Capt1S〇l® is a sulfobutyl ether beta cyclodextrin available from CyDex, LLC. The term "hemolytic effect" refers to the alteration or destruction of red blood cells in a manner that releases heme into the bloodstream.

術語”實體腫瘤癌症”係以其醫學上可接受之意義使用且 不包括血液癌症(諸如白血病)。 本發明係關於包含(2R)_2_[4_(7_漠_2_喹啉基氧基)笨氧 幻丙酸或-種其醫藥學上可接受之鹽、生理學上可接受之 環糊精(包括環糊精之組幻與至少―種增溶劑的醫㈣上 可接受,水性調配物;該調配物之pH值—般介於約4與約9 之間’較佳介於約5與約8之間。 “(2R)-2-[4_(7_演_2+林基氧基)苯氧基]丙酸或一種 条:上可接党之鹽係以約〇 . 1%至約5%(W/”之比例,例如約 /〇至、·、勺3 /0(w/v)之比例存在於本發明之醫藥調配物中。然 :^佳之調配物含有社5%至約2%(w/v)之叫2_ :-2-喹啉基氧基)苯氧基]丙酸或一種其醫藥學上可接受之 鹽0 任何合適環糊精進行本發明,包括α_環糊精 %糊知、環糊精及心環糊 且 式,諸如磺烷美_产… "寺衣糊知可為衍生物形 基環糊_ m 土, '衣;月4例如磺丁基醚卜環糊精)、羥基烷 土义"1 (列如羥基丙基_β_環糊精、經 烧基環糊精(例如,甲基|… 土 _β’糊幻、 Ρ衣糊仴、二甲基_β-環糊精、三 123610.doc 200817005 曱基I環糊精、二乙基+環糊精)或魏基燒基環糊精⑼ 如’幾曱基}環糊精)及其組合。較佳使用續丁基越卜環糊 精或羥基丙基β-環糊精。 上述環糊精a其使減少或防止(2R)_2_[4_(7冬2_喧琳基 氧基)笨氧基]丙酸或其醫藥學上可接受之鹽的藥物引發: 溶血作用成為可能。The term "solid tumor cancer" is used in its medically acceptable sense and does not include blood cancers such as leukemia. The present invention relates to a (2R)_2_[4_(7_ desert_2_quinolinyloxy) stearoxymorphic acid or a pharmaceutically acceptable salt thereof, a physiologically acceptable cyclodextrin (including the cyclodextrin group illusion and at least - the solubilizing agent of the medical (four) acceptable, aqueous formulation; the pH of the formulation is generally between about 4 and about 9' preferably between about 5 and about Between 8. "(2R)-2-[4_(7____Linyloxy)phenoxy]propionic acid or a strip: the salt of the party can be attached to about 1% to about A ratio of 5% (W/", for example, about /〇 to, ·, spoon 3 /0 (w/v) is present in the pharmaceutical formulation of the present invention. However: the formulation of the good contains 5% to about 5% 2% (w/v) is called 2_:-2-quinolinyloxy)phenoxy]propionic acid or a pharmaceutically acceptable salt thereof. 0 Any suitable cyclodextrin is subjected to the present invention, including the alpha ring. Dextrin% paste, cyclodextrin and heart ring paste and formula, such as sulfonamide _ production ... " temple clothing paste can be derivative derivative ring paste _ m soil, 'clothing; month 4 such as sulfobutyl Ether b cyclodextrin), hydroxyalkane meaning "1 (such as hydroxypropyl _β_cyclodextrin, burned cyclodextrin (for example, Base|... soil_β's smudge, sputum, dimethyl-β-cyclodextrin, three 123610.doc 200817005 thiol I cyclodextrin, diethyl + cyclodextrin) or Weiji Cyclodextrin (9) such as 'severyl thiol} cyclodextrin) and combinations thereof. Preferably, a butyl bromide or a hydroxypropyl β-cyclodextrin is used. The above cyclodextrin a is caused by a drug which reduces or prevents (2R)_2_[4_(7 winter 2 喧 基 yloxy) phenyloxy]propionic acid or a pharmaceutically acceptable salt thereof: hemolysis is possible .

言,將環糊精以約1%至約5〇%(w/v),較佳約5%至 約20/o(w/v),例如1〇%(w/v)之量併入調配物中。環糊精較 佳係以實質上有效減少由(2R)_2_[4_(7_溴·2_喧琳基氧基)苯 氧基]丙^或其醫藥學上可接受之鹽引起之溶血作用的量 存在。貫質上減少”意謂環糊精係以將活性成份之溶血作 用相對於在環糊精不存在下由活性成份引起之溶血作用旦 有效減少約30〇/〇或更多之|在/ ^ 飞更夕之里存在。在本發明之較佳態樣 ’核糊精係、以將活性成份之溶血作用相對於在環糊精不 :子在:由活性成份引起之溶血作用量有效減少約5〇%或更Said cyclodextrin is incorporated in an amount of from about 1% to about 5% (w/v), preferably from about 5% to about 20/o (w/v), for example 1% (w/v) In the formulation. The cyclodextrin is preferably substantially effective in reducing hemolysis caused by (2R)_2_[4_(7-bromo-2-indolyloxy)phenoxy]propene or a pharmaceutically acceptable salt thereof The amount exists. "Permeability reduction" means that the cyclodextrin is effective to reduce the hemolysis of the active ingredient by about 30 〇 / 〇 or more relative to the hemolysis effect caused by the active ingredient in the absence of cyclodextrin | In the preferred aspect of the present invention, the 'nuclear dextrins are effective in reducing the hemolysis of the active ingredient relative to the amount of hemolysis caused by the active ingredient in the cyclodextrin. 5 % or more

足以實質上減少活性成份之溶血作用的環糊 扣之置視调配物中活性成份之濃度而定。 由於(2R)-2例7_漠_2_啥琳基氧基)苯氧基丙酸在 之溶解度有限,因此醫藥調配物含有至少—種增溶劑 增轉為增加活性成份在水性調配物中之溶解度的 _L (漠:喧啉基氧基)苯氧基]丙酸為溶解 PH值有關之酸性化合物。㈣,合適增溶劑包括能使 成份溶解及/或將溶液保持在生理學上可接受之範圍 123610.doc 200817005 醫藥學上可接受之PH值調節劑及/或缓衝劑,例如酸/酸性 劑,諸如檸檬酸、乳酸、硼酸、乙酸、磷酸、鹽酸、硫酸 及辑&C 一氫納,及驗/鹼性劑,諸如氫氧化納、檸檬酸鋼、 硼酸鈉、乙酸鈉、硫酸鈉、磷酸氫二鈉、磷酸三鈉、碳酸 鈉、碳酸氫鈉、參羥基甲基胺基甲烷、二乙胺、三乙胺及 氫氧化銨。 ’ 較佳地,增溶劑為生理學上可接受之緩衝劑。一般而言, _ 緩衝劑既能使活性成份溶解又能將調配物pH值保持在約4 人 '力9之間,較佳約5與約8之間。本發明較佳之緩衝劑包括 (例如)選自丁一酸/鹼金屬丁二酸鹽、檸檬酸/鹼金屬檸檬酸 鹽、酒石酸/鹼金屬酒石酸鹽、乳酸/鹼金屬乳酸鹽、順丁烯 二酸/鹼金屬順丁烯二酸鹽、乙酸/鹼金屬乙酸鹽、反丁烯二 酸/鹼金屬反丁烯二酸鹽、甲烷磺酸/鹼金屬甲烷磺酸鹽、鹼 金屬硫酸鹽、鹼金屬硫酸氫鹽、磷酸/單鹼金屬磷酸鹽、鹼 至屬% fee 一氫鹽/ 一鹼金屬碟酸氫鹽、三鹼金屬檸檬酸鹽、 • 鹼金屬磷酸鹽、鹼金屬碳酸鹽/鹼金屬碳酸氫鹽之緩衝系 上述各鹽中之鹼金屬(例如)為鈉或鉀。較佳之緩衝劑為 * 早鹼金屬磷酸鹽/二鹼金屬磷酸鹽,例如磷酸二氫鈉/磷酸氫 二鈉。 較佳之緩衝溶液包括約0·01至約〇·3莫耳、更佳約〇〇5至 約/.2莫耳之鹼金屬磷酸二氫鹽/二鹼金屬磷酸氮鹽(例如磷 酸二氣鈉/磷酸氫二鈉)之緩衝水溶液。 —其他增溶劑包括醫藥學上可接受之共溶劑(例如乙醇、丙 一醇及其類似物)、界面活性劑(例如p〇lys〇rbate 8〇及 I23610.doc -11 - 200817005 P0laxamer)及聚合物(例如聚乙烯吡咯啶酮)。 環糊精亦可用於增加活性成份在水性調配物中之溶解 度。然而’環糊精增加活性成份溶解度的能力與pH有關。 除活性成份、環糊精、增溶劑及水外,本發明之調配物 亦可包括張力修飾劑’例如電解f (諸如氯化納、氯化每)、 非還原糖、及糖醇(諸如甘露糖醇、山梨糖醇、木糖醇或甘 油)。The concentration of the active ingredient in the formulation is sufficient to substantially reduce the hemolysis of the active ingredient. Since (2R)-2 cases of 7_Mos _ 啥 基 基 ethoxy) phenoxypropionic acid have limited solubility, the pharmaceutical formulation contains at least one type of solubilizing agent to increase the active ingredient in the aqueous formulation. The solubility of _L (Moline: porphyrinoxy) phenoxy] propionic acid is an acidic compound which dissolves pH. (d) Suitable solubilizing agents include dissolving the ingredients and/or maintaining the solution in a physiologically acceptable range. 123610.doc 200817005 Pharmaceutically acceptable pH adjusting agents and/or buffers, such as acid/acids , such as citric acid, lactic acid, boric acid, acetic acid, phosphoric acid, hydrochloric acid, sulfuric acid and & C-hydrogen, and / alkaline agents, such as sodium hydroxide, citric acid steel, sodium borate, sodium acetate, sodium sulfate, Disodium hydrogen phosphate, trisodium phosphate, sodium carbonate, sodium hydrogencarbonate, hydroxymethylaminomethane, diethylamine, triethylamine and ammonium hydroxide. Preferably, the solubilizing agent is a physiologically acceptable buffer. In general, the buffer can both dissolve the active ingredient and maintain the pH of the formulation between about 4 and a force 9, preferably between about 5 and about 8. Preferred buffering agents of the invention include, for example, those selected from the group consisting of butyric acid/alkali metal succinate, citric acid/alkali metal citrate, tartaric acid/alkali metal tartrate, lactic acid/alkali metal lactate, butylene Acid/alkali metal maleate, acetic acid/alkali metal acetate, fumaric acid/alkali metal fumarate, methanesulfonic acid/alkali metal methanesulfonate, alkali metal sulfate, alkali Metal hydrogensulfate, phosphoric acid/monoalkali metal phosphate, base to genus % fee monohydrogen salt / alkali metal hydrogen hydride, tribasic metal citrate, alkali metal phosphate, alkali metal carbonate / alkali metal The buffer of bicarbonate is an alkali metal such as sodium or potassium in each of the above salts. Preferred buffering agents are * an early alkali metal phosphate/dibasic metal phosphate such as sodium dihydrogen phosphate / disodium hydrogen phosphate. Preferred buffer solutions include from about 0.01 to about 3 moles, more preferably from about 5 to about 0.2 moles of alkali metal phosphate dihydrogen phosphate/dibasic metal phosphate nitrogen salt (eg, sodium dihydrogen phosphate). A buffered aqueous solution of /disodium hydrogen phosphate). - Other solubilizing agents include pharmaceutically acceptable cosolvents (eg, ethanol, propanol and the like), surfactants (eg, p〇lys〇rbate 8〇 and I23610.doc -11 - 200817005 P0laxamer) and polymerization (eg, polyvinylpyrrolidone). Cyclodextrins can also be used to increase the solubility of the active ingredient in aqueous formulations. However, the ability of cyclodextrin to increase the solubility of active ingredients is related to pH. In addition to the active ingredient, cyclodextrin, solubilizer and water, the formulations of the present invention may also include tonicity modifiers such as electrolysis f (such as sodium chloride, chlorinated per acid), non-reducing sugars, and sugar alcohols (such as nectar). Sugar alcohol, sorbitol, xylitol or glycerol).

本發明之醫藥調配物可視愔汉白扛 & 卜 ^ Γ月况包括抗氧化劑(例如亞硫 酸氫鈉、硫代硫酸鈉及抗壞血酸)。 本發明之調配物亦可包括一或多種防腐劑。可使用任何 適合防腐劑進行本發明,包括(但不限於)氯化苯曱煙錢 (benzabnium)、苯甲醇、甲紛 '對經苯甲酸㈣叫a叫、 苯齡及硫柳汞(thimerosal)。防腐劑之量_般以約〇. i %至約 1 %之量存在。 +可使用熟習此項技術者已知之習知技術製備本發明之醫 藥調配物及組合物。 本發明之醫藥調配物較佳含有治療有效量之活性成份。 本文所肖之術語”治療有效量”係指所投與之s藥調配物中 存在之活性成份之量’該量足以弓丨起所要藥理學或治療效 果及/或防止所治療疾病之一或多種症狀的發展或使之緩 解至某種程度。主治診斷醫師在決定有效量或劑量時會考 慮多種因素,包括(但不限於):哺乳動物之種類;其體型、 涉入程度或疾 所投與製劑的 年齡及一般健康狀況;所涉及之特定疾病 病嚴重程度;個別患者之反應;投與模式 123610.doc 200817005 相伴藥品之使用;及其 生物可用性特徵;所選給藥方案 他有關狀況。 :般藉由靜脈内投與(包括IV快速注射及ίν輸注)、肌肉 内投與及其他非經腸途徑將本發明之醫藥調配物投與患者 ⑼括(但不限於)哺乳動物,例如人類)。醫藥調配物較佳係 藉由IV輸注投與。The pharmaceutical formulation of the present invention may be referred to as an anti-oxidant (e.g., sodium hydrogen sulfite, sodium thiosulfate, and ascorbic acid) in the case of 愔白白扛 & Formulations of the invention may also include one or more preservatives. The invention may be practiced using any suitable preservative, including, but not limited to, benzbnium, benzyl alcohol, methyl benzoic acid (tetra), phenyl age, and thimerosal. The amount of preservative is generally present in an amount of from about i.% to about 1%. The pharmaceutical formulations and compositions of the present invention can be prepared using conventional techniques known to those skilled in the art. The pharmaceutical formulations of the present invention preferably comprise a therapeutically effective amount of the active ingredient. The term "therapeutically effective amount" as used herein refers to the amount of active ingredient present in a pharmaceutical formulation administered in an amount sufficient to remedy the desired pharmacological or therapeutic effect and/or to prevent one of the treated diseases or The development of various symptoms or to a certain extent. The attending physician will consider a number of factors in determining the effective amount or dosage, including (but not limited to): the type of mammal; its size, degree of involvement, or age at which the preparation is administered, and general health; The severity of the disease; the response of individual patients; the mode of administration 123610.doc 200817005 The use of concomitant drugs; and its bioavailability characteristics; his relevant status of the selected dosing regimen. The pharmaceutical formulation of the invention is administered to a patient (9) including, but not limited to, a mammal, such as a human, by intravenous administration (including IV rapid injection and ίν infusion), intramuscular administration, and other parenteral routes. ). Pharmaceutical formulations are preferably administered by IV infusion.

可製得本發明調配物經噴霧乾燥或涞乾形成供復水之粉 末的組合物。可使用水性液體使組合物復水以形成非經腸 衣^ °本發明之另—態樣為該等包含(2R)-2-[4-(7-演-2-噎 啉基氧基)苯氧基]丙酸或其醫藥學上可接受之鹽、生理學上 可接受之環糊精及至少一種增溶劑之組合物。 可在投與之前藉由彼等熟習此項技術者已知之慣用靜脈 内流體稀釋醫藥調配物及/或組合物。因此可製得比上文所 述醫藥調配物更濃形式之醫藥調配物,且隨後可將製得之 調配物稀釋至所要濃度。 本發明之另一實施例係關於包含本文所述之醫藥調配物 之劑型。各劑量應含有經計算產生所要治療作用之量的活 性成份。通常,醫藥調配物將以含有以組合物重量計約1 〇 mg至约4000 mg(以約1〇〇 mg至約2〇〇〇 mgi範圍為較佳的) 之活性成份的劑量單位投與。 彼等熟習此項技術者亦顯而易見,可將本發明之醫藥調 配物及與其相容之其他治療劑及/或預防劑及/或藥物一起 投與。 本發明調配物之所有組份必須均為醫藥學上可接受的 123610.doc -13 - 200817005 本文所用之”醫孳璺μ π μ / ,、上可接受之”組份為適用於人類及/或其 、力物:過刀不利副作用(諸如毒性、刺激及過敏反應) 與適當益處/風險比相當的組份。 本發明進-步係關於本發明之醫藥調配物之醫學用途。 2叫2_[4_(7_溴_2_㈣基氧基)苯氧基]丙酸為有效對抗 戶、豆腫瘤之抗腫瘤劑。因此,本發明提供治療實體腫瘤癌 :之’口療方法’其包含向需要該治療之患者投與治療有效 :之本發明調配物。患者包括靈長類動物、人類、替齒動 、大科動物、_動物、牛科動物、綿羊科動物、馬科 力物、豬科動物、山羊及其類似動物。實It腫瘤癌症包括(但 =艮於)結腸癌、乳癌、前列腺癌、_巢癌、黑素瘤及胰腺 癌0 、本發明之目標為本發明調配物用於製造用以治療實體腫 ^癌症(諸如么士腺、庚 、 “ %癌礼癌、雨列腺癌、印巢癌、黑素瘤及 胰腺癌)之醫學產品的用途。 本發明亦提供降低(2R)_2_[M7i2_㈣基氧基)苯氧 :]丙酸或其醫藥學上可接受之鹽的溶血活性之方法,其包 =^含(2叫2_[4-(7务2-㈣基氧基)苯氧基]丙酸或其 西y、于上可接受之鹽的組合物中添加環糊精。 、下灵例將進一步說明本發明,而非限制本發明。 活體外研究 貫 ^[列 1 · σο y 、.早一緩衝液調配物對犬紅血球之活體外溶血、、既力 評定。 /曰刀的Compositions of the present invention may be prepared by spray drying or drying to form a powder for reconstitution. The composition may be reconstituted with an aqueous liquid to form a parenteral coating. Another aspect of the invention is the inclusion of (2R)-2-[4-(7-ex-2-pyridyloxy)benzene. A composition of oxy]propionic acid or a pharmaceutically acceptable salt thereof, a physiologically acceptable cyclodextrin, and at least one solubilizing agent. The pharmaceutical formulations and/or compositions may be diluted prior to administration by conventional intravenous fluids known to those skilled in the art. Thus, a pharmaceutical formulation in a more concentrated form than the pharmaceutical formulations described above can be prepared, and the resulting formulation can then be diluted to the desired concentration. Another embodiment of the invention is directed to a dosage form comprising a pharmaceutical formulation as described herein. Each dose should contain an amount of active ingredient calculated to produce the desired therapeutic effect. Generally, the pharmaceutical formulation will be administered in a dosage unit containing the active ingredient in an amount of from about 1 mg to about 4000 mg, preferably from about 1 mg to about 2 mg, based on the weight of the composition. It will also be apparent to those skilled in the art that the pharmaceutical formulations of the present invention can be administered with other therapeutic and/or prophylactic agents and/or drugs compatible therewith. All components of the formulations of the present invention must be pharmaceutically acceptable. 123610.doc -13 - 200817005 As used herein, the "medical 孳璺 μ π μ / , acceptable" component is suitable for humans and / Or its substance: a component that has adverse side effects (such as toxicity, irritation, and allergic reaction) and an appropriate benefit/risk ratio. The present invention is further directed to the medical use of the pharmaceutical formulations of the present invention. 2 is called 2_[4_(7_bromo-2-(tetra)yloxy)phenoxy]propionic acid as an antitumor agent against domestic and bean tumors. Accordingly, the present invention provides a method of treating solid tumor cancer: 'oral therapy' which comprises administering to a patient in need of such treatment a therapeutically effective formulation of the present invention. Patients include primates, humans, dentate, large animals, _ animals, bovines, sheep, equines, porcines, goats and the like. Real It tumor cancer includes (but = 艮) colon cancer, breast cancer, prostate cancer, _ nest cancer, melanoma and pancreatic cancer. 0. The object of the present invention is to prepare a preparation for treating a solid tumor. Uses of medical products such as sinus gland, glucagon, "% cancer cancer, rainy gland cancer, Indian cancer, melanoma, and pancreatic cancer." The present invention also provides for the reduction of (2R)_2_[M7i2_(tetra)oxy a method for hemolytic activity of phenoxy-propionic acid or a pharmaceutically acceptable salt thereof, which comprises (2) 2_[4-(7-(4-hydroxy)oxy)propanoic acid The cyclodextrin is added to the composition of the salt or the acceptable salt thereof. The following examples will further illustrate the invention, but not limit the invention. In vitro research is carried out [column 1 · σο y , early A buffer formulation for in vitro hemolysis of canine red blood cells, both strength assessment.

進仃以下研究以評估濃度為1〇 mg/mL& 2〇 1T I236I0.docThe following study was conducted to evaluate the concentration of 1〇 mg/mL& 2〇 1T I236I0.doc

將活體外溶血作用表示為由皂素引發之溶血作用的百 200817005 (2R)_2]4-(7m«氧基)苯氧基μ酸於(u M pH 8 伽緩衝媒劑中之溶液的溶血潛力。將生理食鹽水(0·9% ci)用作負對&、’且將已知為溶血作用引發劑之專素(3% 水溶液)用作正對照。 以1:1之比率及9:1之比率將犬全血與活性成份於媒劑中 之溶液及與單獨之媒劑混合。亦以1:1之比率及9:1之比率將 犬全血與作為正對照之3%皂素溶液及作為負對照之生理 食鹽水(0· 9% NaC〗)混合。 混合後’將試管在3rc下培養30分鐘,接著離心(3_ t/min)10分鐘。將血紅素濃縮物加入上清液中以供藉由uv/ 可見光刀光光度计(Genesis technologies)評定活體外溶血 潛力。基於皂素樣本之結果計算溶血作用百分比。 將此實驗之結果呈現於表!中。活性成份之丨〇及2〇 溶液引發犬紅血球之溶血作用,而單獨之媒劑則不然。該 等結果表明由濃度為10 mg/mL及20 mg/mL之(2R)_2_[4_(7_ /臭-2-喧琳基氧基)苯氧基]丙酸引發之溶血作用。 表1 ··溶血作用百分比* 分比 1236l0.doc -15 - 200817005 貫例2 :含有各種添加劑之調配物對犬紅血球之活體外溶血 潛力的評定 進行此研究以評估經報導可減少某些其他藥物之藥物弓丨 發之溶血作用的各種添加劑相較於實例1中所述之習知磷 酸鹽緩衝液調配物減少溶血之潛力。特定言之,以下實驗 評定活體外各種媒劑中濃度為1〇及2〇 mg/mL之 C ) 2 [4 (7- /臭-2-喧嚇基氧基)苯氧基]丙酸對犬全血之溶 血’曰力。所測试之媒劑水溶液為2〇/〇蔗糖溶液;1 %人類白蛋 白溶液;0.6% P〇l〇xamer 188溶液;1%甘露糖醇溶液·,由 1%甘露糖醇、〇.5%甘胺酸及〇·6% p〇1〇xamer⑻構成之溶 液,0.5%甘胺酸溶液;及作為對照之磷酸鹽緩衝溶液。 以1 · 1之比率及9:1之比率將犬全血與活性成份於各種媒 劑中之溶液及與單獨之媒劑混合。亦將全㈣皂素溶液以 相同比例混合以供用作正對照。在3η:τ培養45分鐘後, 將樣本離〜在微板讀取器(Dynex㈣滅如題 ⑽__ 4.06)上分析所得上清液之血敷血紅素吸收率。 素樣本之結果計算溶血作用百分比。當血紅素濃 二將全血與同源血浆以全血比血漿(固有血浆血紅 :所引之比率混合所獲得之負對照值高2倍以上時認 為所引發之溶血作用為顯著的。 將此實驗之結果呈現於表2中。 述可減少其他藥物的藥物引發之溶==用先前描 :容血f術基咖 I23610.doc 200817005 表2 :溶血作用平均百分比*(n二12) 媒劑 活性成份 濃度 0 mg/mL 1:1比率 活性成份 濃度 10 mg/mL 1:1比率 活性成份 濃度 20 mg/mL 1:1比率 活性成份 濃度 0 mg/mL 9:1比率 活性成份 濃度 10 mg/mL 9:1比率 活性成份 濃度 20 mg/mL 9:1比率 蔗糖2% 4.3% 47.4% 77.9% 5.2% 7.2% 13.0% 人類白蛋白1% 2.5% 38.4% 77.9% 6.5% 5.9% 15.0% Poloxamer 188(0.6%) 3.2% 45.5% 72.4% 7.1% 7.9% 15.5% 甘露糖醇1% 4.7% 56.8% 82.2% 6,2% 6.1% 12.7% 甘露糖醇1%, 甘胺酸0.5%, Poloxamer 188(0.6%) 2.0% 35.0% 82.1% 3.6% 5.6% 13.4% 甘胺酸0.5% 2.1% 34.2% 80,2% 3.6% 5.1% 15.0% 磷酸鹽緩衝液 3.1% 29.5% 85,6% 5.2% 5.6% 12.8% 皂素溶液5% 100.0% - - 100.0% - - 患者血漿 2.7% - - 5.4% -In vitro hemolysis is expressed as hemolysis by saponin. Hundred 200817005 (2R)_2]4-(7m«oxy)phenoxy-acid is hemolyzed in a solution of (u M pH 8 gamma buffer) Potential. Physiological saline (0.9% ci) was used as a negative pair &, and a specific element known as a hemolysis initiator (3% aqueous solution) was used as a positive control. The ratio of 9:1 is to mix the whole blood of the dog with the active ingredient in the vehicle and with the vehicle alone. The dog's whole blood is also 3% as a positive control at a ratio of 1:1 and 9:1. The saponin solution was mixed with physiological saline (0.99% NaC) as a negative control. After mixing, the tube was incubated at 3 rc for 30 minutes, followed by centrifugation (3 _/min) for 10 minutes. The heme concentrate was added. The supernatant was used to assess the in vitro hemolysis potential by uv/visible spectrophotometer (Genesis technologies). The percentage of hemolysis was calculated based on the results of the saponin sample. The results of this experiment are presented in Table! Hemolysis of canine red blood cells caused by sputum and 2 〇 solution, but not by separate agents. These results indicate Hemolysis induced by (2R)_2_[4_(7_ / odor-2-pylinyloxy)phenoxy]propionic acid at a concentration of 10 mg/mL and 20 mg/mL. Table 1 ··Hemolysis %* Fractions 1236l0.doc -15 - 200817005 Example 2: Assessment of in vitro hemolysis potential of canine red blood cells by formulations containing various additives This study was conducted to evaluate the hemolysis of drugs that have been reported to reduce the toxicity of certain other drugs. The various additives reduced the potential for hemolysis compared to the conventional phosphate buffer formulations described in Example 1. In particular, the following experiments assessed C concentrations of 1 〇 and 2 〇 mg/mL in various vehicles in vitro. 2 [4 (7- / odor-2-pyreneoxy) phenoxy] propionic acid on the hemolysis of canine whole blood '曰力. The aqueous solution tested was 2〇/〇 sucrose solution; 1% human albumin solution; 0.6% P〇l〇xamer 188 solution; 1% mannitol solution·, from 1% mannitol, 〇.5 A solution of % glycine and 〇·6% p〇1〇xamer (8), a 0.5% glycine solution; and a phosphate buffer solution as a control. The canine whole blood is mixed with the active ingredient in various media and mixed with a separate vehicle at a ratio of 1:1 and a ratio of 9:1. The whole (d) saponin solution was also mixed in the same ratio for use as a positive control. After incubation for 45 minutes at 3 n: τ, the sample was separated from the hemoglobin absorption rate of the resulting supernatant on a microplate reader (Dynex (4)) (10) __ 4.06. The results of the prime samples calculate the percentage of hemolysis. Hemoglobin Concentration is considered to be significant when whole blood and homologous plasma are more than 2-fold higher than the negative control value obtained by mixing whole blood to plasma (inherent plasma redness: the ratios cited). The results of the experiment are presented in Table 2. The drug-induced dissolution of other drugs can be reduced. == Use the previous description: 容血 f术基咖 I23610.doc 200817005 Table 2: Mean percentage of hemolysis* (n 2 12) Active ingredient concentration 0 mg/mL 1:1 ratio active ingredient concentration 10 mg/mL 1:1 ratio active ingredient concentration 20 mg/mL 1:1 ratio active ingredient concentration 0 mg/mL 9:1 ratio active ingredient concentration 10 mg/ mL 9:1 ratio Active ingredient concentration 20 mg/mL 9:1 ratio sucrose 2% 4.3% 47.4% 77.9% 5.2% 7.2% 13.0% Human albumin 1% 2.5% 38.4% 77.9% 6.5% 5.9% 15.0% Poloxamer 188 (0.6%) 3.2% 45.5% 72.4% 7.1% 7.9% 15.5% Mannitol 1% 4.7% 56.8% 82.2% 6,2% 6.1% 12.7% Mannitol 1%, Glycine 0.5%, Poloxamer 188 ( 0.6%) 2.0% 35.0% 82.1% 3.6% 5.6% 13.4% Glycine 0.5% 2.1% 34.2% 80,2% 3.6% 5.1% 15.0% Phosphate buffer 3.1% 29.5% 85,6% 5.2% 5.6% 12.8% Saponin solution 5% 100.0% - - 100.0% - - Patient plasma 2.7% - - 5.4% -

*將活體外溶血作用表示為由皂素引發之溶血作用的百 分比 實例3 :各種媒劑中之調配物對犬紅血球之活體外溶血潛力 的評定 亦進行此研究以評估各種非經腸媒劑相較於習知磷酸鹽 緩衝液調配物減少溶血之潛力。 製備以下調配物: A) 0.1 M pH 8磷酸鹽.緩衝液中之20 mg/rnL活性成份; B) 0.12 Μ碳酸氫鈉溶液中之20 mg/mL活性成份;及 C) 0,1 M pH 8石粦酸鹽緩衝液中之20 mg/mL活性成份加1 0 mg/mL NaCl 〇 生理食鹽水(0.9% NaCl)用作負對照,皂素(3%水溶液)用 作正對照。 I23610.doc 200817005 幻:】之比率及9:1之比率將犬全血與活性成份於媒劑中 之溶液及與單獨之媒劑混合。亦以1:1之比率及9·】之比率將 犬全血與作為正對照之3%4素溶液及作為負對照之生理 食鹽水(0.9% NaC〗)混合。 混合後,試管在3rc培育30分鐘,接著離心(膽t/min)i〇 分鐘。將血紅素濃縮物加人上清液中,藉由uv/可見光分光 光度計(Genesis techn()I()gies)評定活體外溶血潛力。基於息* In vitro hemolysis is expressed as a percentage of hemolysis caused by saponin. Example 3: Evaluation of in vitro hemolysis potential of canine red blood cells by formulations in various vehicles This study was also conducted to evaluate various parenteral vehicles. The potential for hemolysis is reduced compared to conventional phosphate buffer formulations. The following formulations were prepared: A) 0.1 M pH 8 phosphate. 20 mg/rnL active ingredient in buffer; B) 20 mg/mL active ingredient in 0.12 Μ sodium bicarbonate solution; and C) 0,1 M pH 20 mg/mL active ingredient in 10 citrate buffer plus 10 mg/mL NaCl 〇 physiological saline (0.9% NaCl) was used as a negative control, and saponin (3% aqueous solution) was used as a positive control. I23610.doc 200817005 The ratio of illusion: and the ratio of 9:1 mixes canine whole blood with the active ingredient in a vehicle and with a separate vehicle. Dog whole blood was also mixed at a ratio of 1:1 and 9·] with a 3% sin solution as a positive control and a physiological saline (0.9% NaC) as a negative control. After mixing, the tubes were incubated for 30 minutes at 3rc, followed by centrifugation (boom t/min) for 1 minute. The heme concentrate was added to the supernatant and the in vitro hemolysis potential was assessed by a uv/visible spectrophotometer (Genesis techn() I() gies). Based on interest

素樣本之結果計算溶血作用百分比。 此員%之結果王現於表3中。所有三種調配物引發犬紅血 球之活體外溶血作用。、玄‘ ^ &血作用之指數係以皂素樣本之正 對知、值的百分比·表示。 表3 :溶血作用百分比* ------ 調配物 血液/溶液 _ 比率 20 mg/mL 活性成份 A 一 n=6 (平均) 1:1 23% 76.6% A n=6 (平均) 9:1 1.6% 2.9% B n=6 (平均) 1:1 20.0% 56.5% B ^^_ n=6 (平均) --—--- 9:1 ~—--—-- 3.1% —--—_ 2.3% n-6 (平均) -------- 1:1 ^--------. 2.4% L~_ 85.4% ---- 123610.doc 200817005 調配物 血液/溶液 比率 不含/舌性成份 之媒劑 20 mg/mL 活性成份 C n=6 (平均) 9:1 U% 1.8% 生理食鹽水 π-6 (平均) 1:1 1.93% - 生理食鹽水 11==6 (平均) 9:1 2.0% *將活體外溶血作用表示為由息素引發之溶血作用的百 分比The results of the prime samples calculate the percentage of hemolysis. The result of this member is shown in Table 3. All three formulations elicited in vitro hemolysis of canine red blood cells. , Xuan ‘ ^ & blood effect index is expressed as the positive correlation of the saponin sample, the percentage of the value. Table 3: Percentage of Hemolysis* ------ Formulation Blood/Solution_ Ratio 20 mg/mL Active Ingredient A - n = 6 (Average) 1:1 23% 76.6% A n=6 (Average) 9: 1 1.6% 2.9% B n=6 (average) 1:1 20.0% 56.5% B ^^_ n=6 (average) ------ 9:1 ~—----- 3.1% —-- —_ 2.3% n-6 (average) -------- 1:1 ^--------. 2.4% L~_ 85.4% ---- 123610.doc 200817005 Formulation Blood/ Solution ratio does not contain / tongue-inducing agent 20 mg / mL Active ingredient C n = 6 (average) 9:1 U% 1.8% Physiological saline π-6 (average) 1:1 1.93% - Physiological saline 11 ==6 (average) 9:1 2.0% *In vitro hemolysis is expressed as the percentage of hemolysis caused by statin

實例4:含有環糊精之調配物對犬紅血球之活體外溶血潛力 之評定。 進行以下研究以評估含有Π) mg/mL活性成份之調配物在 具有1 0%(w/v)經基丙基β環糊精之〇.〇5M pH 7磷酸鹽緩衝 液調配物中之溶液減少溶血之潛力。將生理食鹽水(〇·9%Example 4: Evaluation of the in vitro hemolysis potential of canine red blood cells with a cyclodextrin-containing formulation. The following study was conducted to evaluate the formulation of a formulation containing Π) mg/mL of active ingredient in a 具有5M pH 7 phosphate buffer formulation with 10% (w/v) propyl propyl β-cyclodextrin. Reduce the potential for hemolysis. Will be physiological saline (〇·9%

NaCl)用作負對照,且將皂素(3%水溶液)用作正對照。 以1.1之比率及9:1之比率將犬全血與活性成份於媒劑中 之溶液及與單獨之媒劑混合。亦以1:1之比率及Μ之比率將 犬全血與作為正對照之3%皂素溶液及作為負對照之生理 食鹽水(0.9% NaCl)混合。 混合後,將試管在3n:下培養30分鐘,接著離心(3〇〇〇 in) 1 0刀4里g血紅素濃縮物加入上清液中以供藉由UV, 可見光分光光度計(Genesis teehnQlGgies)評定活體外溶血 潛力。基於皂素樣本之結果計算溶血作用百分比。 將此貫驗之結果呈現於表4中。本發明之】 τ个心明之1 0 mg/mL·環糊精 123610.doc -19- 200817005 調配物未引發犬紅血球之活體外溶·血作用。 表4 :溶血作用百分比* 血液/溶液 比率 10 mg/mL活 性成份 —----- 不含活性成份 生理食鹽水 1:1,n=6 (平均) 1.8% 0.2% ------- 1.8% 9:1,n=6 (平均) 0.5% 0.8% 1.2%NaCl was used as a negative control, and saponin (3% aqueous solution) was used as a positive control. The canine whole blood is mixed with the active ingredient in a vehicle at a ratio of 1.1 and a ratio of 9:1 and mixed with a separate vehicle. Dog whole blood was also mixed with a 3% saponin solution as a positive control and a physiological saline (0.9% NaCl) as a negative control at a ratio of 1:1 and Μ. After mixing, the tubes were incubated at 3n: for 30 minutes, followed by centrifugation (3 〇〇〇 in) 10 4 4 gram of hemoglobin concentrate added to the supernatant for UV, visible spectrophotometer (Genesis teehnQlGgies ) Assessment of in vitro hemolysis potential. The percentage of hemolysis was calculated based on the results of the saponin sample. The results of this test are presented in Table 4. The present invention is a 0-1 heart-shaped 10 mg/mL·cyclodextrin 123610.doc -19- 200817005 The formulation does not cause the in vitro dissolution of blood of canine red blood cells. Table 4: Percentage of hemolysis* Blood/solution ratio 10 mg/mL active ingredient ----- No active ingredient Physiological saline 1:1, n=6 (average) 1.8% 0.2% ------ - 1.8% 9:1, n=6 (average) 0.5% 0.8% 1.2%

*將活體外溶血作用表示為由皂素引發之溶血作用的百 分比 貫例5 ·具有人類血液及血漿之環糊精調配物之活體外溶血 評定 以下實驗評定本發明之環糊精調配物在 活體外溶血作用之潛力 製備濃度為2 mg/mL、5 mg/mL及i 〇 mg/mL之活性成份於 媒劑(0.05 Μ碟酸鹽緩衝液中之I〇% Captis〇iV/v))中之溶 液作為測試溶液。對於各溶液而言,所測試的血液比測試 溶液及血液比媒劑之比率為1:1及9:1。將全血舆作為正對昭 息素混合。將所有試管在坑下培私分鐘,接㈣ ㈠g〇5哉)離心5分鐘。在微“U(Dynex :ΐ:Γ5 MRX reVel— 濃血紅素吸收率。 基:矣素樣本之結果計算溶血作用百分比 值比措由將全血與同源血漿以Η及$ 、 ”合/ _鉗昭佶古 } A此合所獲得之 負t…值冋2倍打認為溶血作用為顯著的。 123610.doc -20- 200817005 、、Ό果單獨之Captisol®媒劑及含有ι〇 mg/mL活性成份之 含Captisol®調配物未引發人類全血之溶血作用。 a例6 ·各種藥物濃度、緩衝液pH值及莫耳濃度及環糊精濃 度之調配物的活體外溶血評定* In vitro hemolysis is expressed as a percentage of hemolysis caused by saponin. Example 5. In vitro hemolysis evaluation of cyclodextrin formulations with human blood and plasma. The following experiment evaluates the cyclodextrin formulation of the present invention in vivo. Potential for external hemolysis to prepare active ingredients at concentrations of 2 mg/mL, 5 mg/mL and i 〇mg/mL in vehicle (I〇% Captis〇iV/v in 0.05 Μ discate buffer) The solution was used as a test solution. For each solution, the ratio of blood tested to test solution and blood to vehicle was 1:1 and 9:1. Whole blood sputum is mixed as a positive contrast. Place all the tubes in the pit for a few minutes, then centrifuge (5) (1) g〇5哉) for 5 minutes. In the micro "U (Dynex: ΐ: Γ 5 MRX reVel - concentrated hemoglobin absorption rate. Base: the results of the sputum sample to calculate the percentage value of hemolysis than the measurement of whole blood and homologous plasma with $ and $, _ / _ Clamp Zhao Zhaogu} A negative t... value obtained by this combination is considered to be significant. Hemolysis is significant. 123610.doc -20- 200817005, Capitol® vehicle alone and containing ι〇mg/mL The active ingredient containing the Captisol® formulation did not elicit the hemolysis of human whole blood. a Example 6 • In vitro hemolysis assessment of formulations of various drug concentrations, buffer pH values, and molar concentrations and cyclodextrin concentrations

表5中展示各種緩衝液pH值及莫耳濃度、具有及不具有 Captisol之’舌性成份的溶解度資料。在_ ' 〇_仍μ緩衝液 強度下,當活性成份之溶解度較低時,添加i〇% captis〇i(g) 使活性成份之溶解作用增加2倍以上。活性成份在調配物中 之溶解度隨緩衝液pH值或莫耳濃度增加而增加。然而,在 比較低PH值或莫耳淚度下添加Captis(^產±較少程度之溶 解度增加。在pH 8的〇· i M緩衝液中未發現⑧解 度增加作用。 表5 ·各種緩衝液pH值及 磷酸鹽緩衝液強度及 溶解度(mg/mL;) pH 7.0 pH 7.5 t^T Τ 〇 a 0.05 Μ 4.8 , 8.6 pH 〇.0 0·05 Μ及 10% CaptisoP 10.3 13.4 _L〇:6 0.1 Μ 8.6 17.2 --L5.0 〇·1 M及 10% Captisol⑧ 15.9 19.0 L 21.3 …肢m訊汗怙采研究緩衝液1^值、莫耳濃廣 濃度對㈣濃度之活性成份的溶血保護之= 評估溶血作用之方法與實例2中所述之方法相同。表蝴 兩種稀釋下之調配物及溶血作用百分比。 1236I0.doc 200817005 表6 : 調配物 編號 活性成份濃度 (mg/mL) PBS 莫耳濃度 (M) — PH值 Captisol® % (w/v) 平均溶血作用 1:1血液 〉谷液比率 9:1血液 滚潘1*卜承 1 9 0.1 8.0 0 23 7 /廿/代CCl ο 〇 2 9 0.05 7.0 10 4.2 0 〇 3 9 0.1 8.0 10 3.2 «3 〇 Ο 4 18 0.1 8.0 0 74 0 Q < 5 18 0.1 」·0 10 14.3 〇.!) Λ *7 6 18 0.1 」.0 20 2.7 τ*. J 9 Q 7 0 0.05 7.0 10 2.2 0 Λ 8 0 0.1 8.0 10 3.2 ‘•U 9 9 9 0 0.1 —----- —8·0 20 4.7 Μ · W 2·8 將活體外溶血作用表示為由皂素引發之溶血作用的百Table 5 shows the solubility data for various buffer pH and molar concentrations, with and without the tongue component of Captisol. In the case of _ ' 〇 _ still μ buffer strength, when the solubility of the active ingredient is low, i〇% captis〇i (g) is added to increase the dissolution of the active ingredient by more than 2 times. The solubility of the active ingredient in the formulation increases as the pH of the buffer or the molar concentration increases. However, Captis was added at a lower pH or Moire tear. The solubility was increased to a lesser extent. No increase in the degree of solution was observed in the pH 8 〇·i M buffer. Table 5 • Various buffers Liquid pH and phosphate buffer strength and solubility (mg/mL;) pH 7.0 pH 7.5 t^T Τ 〇a 0.05 Μ 4.8 , 8.6 pH 〇.0 0·05 Μ and 10% CaptisoP 10.3 13.4 _L〇:6 0.1 Μ 8.6 17.2 --L5.0 〇·1 M and 10% Captisol8 15.9 19.0 L 21.3 ... limb m 怙 怙 研究 研究 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲 缓冲= The method for assessing hemolysis was the same as that described in Example 2. The ratio of the two dilutions and the percentage of hemolysis were observed. 1236I0.doc 200817005 Table 6: Formulation number Active ingredient concentration (mg/mL) PBS Mo Ear concentration (M) — PH value Captisol® % (w/v) Mean hemolysis 1:1 blood> Valley ratio 9:1 Blood roll Pan 1* Bu Cheng 1 9 0.1 8.0 0 23 7 /廿/代CCl ο 〇2 9 0.05 7.0 10 4.2 0 〇3 9 0.1 8.0 10 3.2 «3 〇Ο 4 18 0.1 8.0 0 74 0 Q < 5 18 0.1 ”·0 10 14.3 〇.!) Λ *7 6 18 0.1 ”.0 20 2.7 τ*. J 9 Q 7 0 0.05 7.0 10 2.2 0 Λ 8 0 0.1 8.0 10 3.2 '•U 9 9 9 0 0.1 —----- —8·0 20 4.7 Μ · W 2·8 Expressing in vitro hemolysis as a hundred hemolytic effect induced by saponin

分比 在CaptisoP不存在下活性成份濃度為9及〗8 mg/mL之調 配物®引發浴血作用(調配物編號1與4 )。 在不同pH值及緩衝液莫耳濃度下,具有1〇% Captis〇l(g)之 活性成份濃度為9 mg/mL的調配物提供有效溶血作用保護 (調配物編號2及3)。 對於活性成份濃度為1 8 mg/mL之調配物而言,在具有 1 0% Captisol0 pH值為8下觀測到一些溶血作用(調配物編 號5)。然而,對具有相同活性成份濃度、pH值及莫耳濃度 但具有20% Captisol0之調配物(調配物編號6)而言未觀測到 溶血作用。 123610.doc -22- 200817005 该等結果表明充;^ CaptisGl⑧含量及Captisw比藥物之比 率對提供溶血保護而言為重要的。在研究範_,律管緩 衝液輝或料濃度㈣響活性成份之詩度及Capl〇1 之增洛作用’但其僅較少影響Captisol®之溶血保護。 活體内研究 實例7:以30分鐘輸注⑽鹽緩衝液調配物進行犬活體内 研究 藉由單-靜脈内輸注經3〇分鐘向j隻雄性^隻雖性米格 魯(beagle)犬各投與濃度為1〇 mg/mI^2〇叫/虹的活性成 份於〇._酸鹽緩衝液中之溶液,從而分別獲得25及50 :g/kg之總暴露。以如下間隔歷時1A取樣以供血漿含量測 定:輸注結束(G)、輸注結束後3G分鐘、i小時、3小時、6 小時及24小時。Fractions The formulation of the active ingredient concentration of 9 and 8 mg/mL in the absence of CaptisoP initiated bathing (formulation numbers 1 and 4). Formulations with a concentration of 1 mg% Captis® (g) of active ingredient of 9 mg/mL provide effective hemolysis protection at different pH and buffer molar concentrations (Formulation Nos. 2 and 3). For formulations with an active ingredient concentration of 18 mg/mL, some hemolysis was observed with a 10% Captisol0 pH of 8 (Formulation No. 5). However, no hemolysis was observed for formulations with the same active ingredient concentration, pH and molar concentration but with 20% Captisol0 (formulation number 6). 123610.doc -22- 200817005 These results indicate that the charge of CaptisGl8 and the ratio of Captisw to drug are important to provide hemolysis protection. In the research paradigm, the rhythm of the buffer or the concentration of the material (4) is the poetic degree of the active ingredient and the increase of Capl〇1', but it only affects the hemolysis protection of Captisol®. In vivo study Example 7: In vivo in vivo study with a 30 minute infusion (10) salt buffer formulation administered to a male male, only a beagle dog, by a single intravenous infusion over 3 minutes. A solution of the active ingredient in a concentration of 1 〇 mg/mI^2 〇/虹 in a buffer of 〇._acidate to obtain a total exposure of 25 and 50: g/kg, respectively. Samples were taken at 1 A for plasma content measurements at the following intervals: end of infusion (G), 3 G minutes after end of infusion, i hours, 3 hours, 6 hours, and 24 hours.

結果:在時間0、輸注後30分鐘(所有動物)、i小時(以乃 mg/kg處理之雄性動物及以5〇 mg/kg處理之兩隻動物)、3 小時(以50 mg/kg處理之兩隻動物)及6小時(以5〇處 理之雌性動物)目測到血漿樣本之溶血作用。 實例8 :磷酸鹽緩衝液調配物或本發明之環糊精調配物的 活體内研究RESULTS: At time 0, 30 minutes after infusion (all animals), i hours (male animals treated with mg/kg and two animals treated at 5 mg/kg), 3 hours (treated at 50 mg/kg) The hemolysis of plasma samples was visualized by two animals) and 6 hours (female animals treated with 5 。). Example 8: In vivo study of phosphate buffer formulations or cyclodextrin formulations of the invention

藉由單一靜脈内輸注經〗小時向1〇隻雄性及1〇隻雌性大 鼠各投與濃度為0、2.5、5及10 mg/mL之活性成份於〇1 M 磷酸鹽緩衝液中之溶液。劑量為〇(對照)、1〇〇、2〇〇及4⑽ mg/kg 〇 結果·在輸注當天,400 mg/kg劑量下之1〇隻雄性中之6 123610.doc -23 · 200817005 隻及ίο隻雌性中之8隻觀測到最可能係由活性成份之溶血 潛力引起之變色尿(紅色/褐色)。 在使用具有CaptisoP之調配物以1〇〇、200、300及350 mg/kg劑量在大鼠體内進行之研究中,第!天在 I之12隻雌性中僅3隻且第2天在12隻雌性中之i隻觀察到 k:色(紅色)尿。此劑量係在大鼠體内使用最高濃度(1〇 mg/mL)及極高體積投藥(Μ mL/kg)獲得。 在犬體内使用具有Captisol®之調配物以1〇、50及75 mg/kg(最大濃度為7·5 mg/mL,投與體積為1〇 mL/kg)之劑量 進行的研究中未觀測到溶血作用。 貫例9 ·以本發明之環糊精調配物進行犬活體内研究 藉由單一靜脈内輸注經1小時向雌性米格魯犬投與活性 成份於具有10%羥基-丙基β-環糊精之0.05 M pH 7磷酸鹽缓 衝液之水溶液中的溶液(1〇 mg/mL)。劑量為50 mg/kg。以如 下間隔歷時1天取樣:輸注結束(0)、輸注結束後30分鐘、1 小時、3小時、6小時及24小時。 結果:在血樣中未注意到離體溶血作用。 實例1 〇 :以下為本發明之醫藥調配物之實例: 8.00 mg 100 mg 2.92 mg 10.1 mg 適量補足至1 ml 材料 活性成份 磺丁基醚β環糊精 二水合磷酸二氫鈉 十二水合麟酸氫二鋼 水 123610.doc 24- 200817005 材料_ 活性成份 磺丁基醚β環糊精 單水合磷酸二氫鈉 無水填酸氫二鈉 水 *_ 10.0 mg 100 mg 2.5 mg 3.9 mg 適量補足至1 mlA single concentration of 0, 2.5, 5, and 10 mg/mL of the active ingredient in 〇1 M phosphate buffer was administered to one male and one female female by a single intravenous infusion over a period of one hour. . The doses were 〇 (control), 1〇〇, 2〇〇, and 4(10) mg/kg. Results • On the day of infusion, 6 of the 1 males at the 400 mg/kg dose was 123610.doc -23 · 200817005 only and ίο Eight of only females were observed to be most likely to have discolored urine (red/brown) caused by the hemolysis potential of the active ingredient. In a study conducted in rats at a dose of 1 〇〇, 200, 300, and 350 mg/kg using a formulation with CaptisoP, the first! Only 3 out of 12 females in I and only k in the 12 females on day 2 observed k: color (red) urine. This dose was obtained in rats using the highest concentration (1 〇 mg/mL) and very high volume administration (Μ mL/kg). Not observed in dogs using Captisol® formulations at doses of 1〇, 50, and 75 mg/kg (maximum concentration of 7.5 mg/mL, administration volume of 1〇mL/kg) To hemolysis. Example 9 - In vivo study of the dog with the cyclodextrin formulation of the present invention The active ingredient was administered to a female Miguel dog for 1 hour by a single intravenous infusion with 10% hydroxy-propyl β-cyclodextrin A solution (1 mg/mL) of an aqueous solution of 0.05 M pH 7 phosphate buffer. The dose is 50 mg/kg. Samples were taken at 1 hour intervals as follows: end of infusion (0), 30 minutes after end of infusion, 1 hour, 3 hours, 6 hours, and 24 hours. Results: In vitro hemolysis was not observed in the blood samples. Example 1 〇: The following is an example of a pharmaceutical formulation of the present invention: 8.00 mg 100 mg 2.92 mg 10.1 mg Appropriate amount to 1 ml Material active ingredient sulfobutyl ether β-cyclodextrin dihydrogen phosphate dihydrogen sodium dodecanoic acid Hydrogen two steel water 123610.doc 24- 200817005 Material _ active ingredient sulfobutyl ether β cyclodextrin monohydrate sodium dihydrogen phosphate anhydrous sodium hydrogenate disodium water * _ 10.0 mg 100 mg 2.5 mg 3.9 mg appropriate amount to 1 ml

123610.doc -25 -123610.doc -25 -

Claims (1)

200817005 十、申請專利範圍: 1· 一種醫藥學上可接受之水性,獅此 * 改凋配物,其包含(2R)-2_[4_ (7-溴-2-喹啉基氧基)笨氧其1 # 虱基]丙酸或其醫藥學上可接受之 鹽、生理學上可接受之環糊籍 h及至少一種增溶劑。 2·如請求項1之調配物,其中兮〇 T 漠…2-喹啉基氧 基)苯氧基]丙酸或其醫藥學卜W / 永予上可接党之鹽係以約〇1%至 約5%(w/v)之量存在。200817005 X. Patent application scope: 1. A pharmaceutically acceptable water-based, lion-like compound that contains (2R)-2_[4_(7-bromo-2-quinolyloxy) stupid Its 1 # mercapto]propionic acid or a pharmaceutically acceptable salt thereof, a physiologically acceptable cyclodextrin, and at least one solubilizing agent. 2. The formulation of claim 1, wherein 兮〇T ...... 2-quinolinyloxy)phenoxy]propionic acid or its medicinal preparation W / 永上上的的盐系系% to about 5% (w/v) is present. 3.如請求項1之調配物,其中該環糊精係選自由α-環糊精、 β’糊精、γ-環糊精、“衰糊精及其衍生物組成之群。 4 ·如請求項3之調配物,其中兮产如 ^ μ知、糊精係選自由磺烷基醚 環糊精、羥基烷基環糊精、焓 况基%糊精及羧基烷基環糊 精組成之群。 5. 如請求項4之調配物,其中哕卢恤她" 衣糊精係選自由磺丁基醚β- 環糊精及羥基-丙基卜環糊精組成之群。 6 · 如請求項5之調配物,其中兮戸士 /、Τ 4 糊精為磺丁基醚卜環糊 精。 7. 如請求項6之調配物,其中該環糊精為㈣㈤⑧。 8. 如請求項1之調配物,纟中該環糊精係以約1%至約 50%(w/v)之量存在。 9·如請求項8之調配物,其中兮产〆 4 %糊精係以約5%至約 20%(w/v)之量存在。 10.如請求項8之調配物’其中該環糊精係以約10%(W/V)之 量存在。 11·如請求们之調配物,其中該增溶劑為生理學上可接受 123610.doc 200817005 之緩衝_。 12·如請求項”之調配物,其中該緩衝劑濃度為約〇 〇i μ至 約〇·25 Μ。 至 13. 如請求項丨丨之調配物,其中該緩衝劑為單鹼金屬磷酸鹽/ 二驗金屬磷酸鹽缓衝液。 · 14. 如請求項1之調配物,其具有介於約5.0與約80之 pH。 B 的3. The formulation of claim 1, wherein the cyclodextrin is selected from the group consisting of alpha-cyclodextrin, beta dextrin, gamma-cyclodextrin, "dextrin and its derivatives. The formulation of claim 3, wherein the product is selected from the group consisting of a sulfoalkyl ether cyclodextrin, a hydroxyalkyl cyclodextrin, a decyl group dextrin, and a carboxyalkyl cyclodextrin. 5. As in the formulation of claim 4, wherein the 哕 恤 她 & &" espresso is selected from the group consisting of sulfobutyl ether β-cyclodextrin and hydroxy-propyl cyclodextrin. The formulation of claim 5, wherein the gentleman/, Τ 4 dextrin is sulfobutyl ether cyclodextrin. 7. The formulation of claim 6, wherein the cyclodextrin is (iv) (v) 8. 8. The formulation of 1 wherein the cyclodextrin is present in an amount of from about 1% to about 50% (w/v). 9. The formulation of claim 8, wherein the sputum is 4% dextran. 5% to about 20% (w/v) is present. 10. The formulation of claim 8 wherein the cyclodextrin is present in an amount of about 10% (w/v). a formulation wherein the solubilizing agent is physiologically The receiving buffer 123610.doc 200817005 _. 12. The requested item "the formulation, wherein the buffer concentration is from about 〇i μ billion to about 25 billion · [mu]. To 13. The formulation as claimed in claim 1, wherein the buffer is a monoalkali metal phosphate/bimetal phosphate buffer. 14. The formulation of claim 1 which has a pH of between about 5.0 and about 80. B's 15·如請求項丨之調配物,其另外包含張力修飾劑。 16·如請求項丨之調配物,其另外包含一或多種生理學上可 接受之防腐劑。 之賦 17·如請求項〗之調配物,其另外包含醫藥學上可 形劑。 又 η. -種組合物,其包含(211)_2-[4_(7备2_啥琳基氧基)苯氧 基]丙酸或其醫藥學上可接受之鹽、生理學上可接受之環 糊精及至少一種增溶劑。 1 9 · 士口月求項18之組合物’里 八τ θ咏糊輪為磺丁基醚β-環糊 精0 20. 一種>。療實體腫瘤癌症之方法,其包含向需要該治療之 〜者技舆冶療有效量之如請求項!之醫藥調配物。 。月长員20之方法’其中該實體腫瘤癌症係選自由結腸 癌癌、卵巢癌、黑素瘤及胰滕癌組成之 群。 2 2 · —種如請求項1藝 、、 、 西条调配物之用途,其係用於製造用 以治療實體腫瘤癌症之醫學產品。 123610.doc 200817005 23· 一種降低(2R)-2-[4_(7-溴-I喹啉基氧基)苯氧基]丙酸或 其醫藥學上可接受之鹽溶血活性之方法,其包含在含 (2R)j-[4-(7-漠-2-喧琳基氧基)苯氧基]丙酸或其醫藥學 上可接受之鹽的組合物中添加 精。 加生理學上可接受之環糊 从如請求項23之方法,其中該環 環糊精及經基·丙基β_環糊精組成之^自由〜丁基叫-15. A formulation as claimed in the formula, which additionally comprises a tonicity modifying agent. 16. A formulation as claimed, which additionally comprises one or more physiologically acceptable preservatives. The formulation of claim 17 further comprising a pharmaceutically acceptable agent. Further η. a composition comprising (211)_2-[4_(7 22_啥琳-yloxy)phenoxy]propionic acid or a pharmaceutically acceptable salt thereof, physiologically acceptable Cyclodextrin and at least one solubilizer. 1 9 · The composition of the syllabus of the syllabus of the '18' θ 咏 paste wheel is sulfobutyl ether β-cyclodextrin 0 20. A >. A method of treating solid tumor cancer, which comprises administering a therapeutically effective amount to a need for the treatment; Pharmaceutical formulations. . The method of the lunar member 20 wherein the solid tumor cancer is selected from the group consisting of colon cancer, ovarian cancer, melanoma, and pancreatic cancer. 2 2 · A use of the ingredients of claim 1, art, and sirloin for the manufacture of a medical product for the treatment of solid tumor cancer. 123610.doc 200817005 23. A method for reducing (2R)-2-[4-(7-bromo-I-quinolinyloxy)phenoxy]propionic acid or a pharmaceutically acceptable salt hemolytic activity thereof, comprising A fine is added to the composition containing (2R)j-[4-(7-indol-2-yllinyloxy)phenoxy]propionic acid or a pharmaceutically acceptable salt thereof. A physiologically acceptable cyclodextrin is obtained from the method of claim 23, wherein the cyclodextrin and the propyl-propyl-cyclodextrin are composed of a free radical - a butyl group - 123610.doc 200817005 七、指定代表圖: (一) 本案指定代表圖為:(無) (二) 本代表圖之元件符號簡單說明: 八、本案若有化學式時,請揭示最能顯示發明特徵的化學式:123610.doc 200817005 VII. Designated representative map: (1) The representative representative of the case is: (none) (2) The symbol of the symbol of the representative figure is simple: 8. If there is a chemical formula in this case, please reveal the best indication of the characteristics of the invention. Chemical formula: BrBr (I) 5 123610.doc(I) 5 123610.doc
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